Individual
H. KENT KRUEGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LBSW
Contact information
Practice address
2601 13TH ST, PORT HURON, MI 48060-6546
(810) 987-9100
(810) 987-9105
Mailing address
PO BOX 611132, PORT HURON, MI 48061-1132
(810) 987-9100
(810) 987-9105
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801065146
MI
Other
Enumeration date
08/27/2006
Last updated
07/08/2007
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